Ahead of next week’s Scottish budget announcement 2017-18, the ALLIANCE has published a list of ten actions that would stimulate further innovation in health and social care – and lead to better outcomes for people who use support and services and their unpaid carers.
Finance Secretary Derek MacKay MSP is due to announce his budget in a speech to the Scottish Parliament next week (15 December). This will outline a range of measures, investments and decisions to be made by the Scottish Government over the coming year.
Our list of ten, developed to coincide with ten years of the ALLIANCE, highlights the wealth of measures that could be taken to improve health and social care in Scotland including a Transformation Fund for Self-Directed Support, more investment in the links approach and the creation of a co-production strategy.
Budget 17/18 – 10 ideas to stimulate innovation in health and social care
1. Increase the Integrated Care Fund by 50 per cent and extend it by five years to support Health and Social Care Partnerships to develop and embed new and inclusive ways of working that address issues such as delayed discharge.
Evidence from our Third Sector Health and Social Care Support Team suggests there are concerns that integration remains in its infancy. We believe further investment in innovative practice is required.
2. Co-produce a new health and social care co-production strategy and fund Phase 2 of the People Powered Health and Wellbeing programme over the next three years.
People Powered Health and Wellbeing is a programme working alongside people who use support and services, unpaid carers and professionals to increase the pace of co-production in health and social care.
3. Invest an additional £25m in social care a year in order to scrap non-residential care charges.
Scotland Against the Care Tax has estimated " v:shapes="Picture_x0020_4"> that the cost of ending unfair social care charges would be, at most, £25m based on the current revenue collected by local authorities minus administration costs, double counting from the Independent Living Fund and waiving of carers charges.
4. Invest towards the creation of community links workers in general practices in deprived areas.
Support the coordinated delivery of recruitment, training and retention of links workers across Scotland. A central learning team will support essential monitoring, learning and evidence around links approaches and provide valuable data on the impact of the social determinants of health in Scotland.
5. Back the new Mental Health Strategy 2017-27 with £150m investment directly into innovative third sector support and services to reflect the range of far reaching research and recommendations made in reports commissioned under the previous strategy.
Mental Health in Scotland – A 10 Year Vision " v:shapes="Picture_x0020_3"> notes that £150m is being invested to support the implementation of the new strategy. We believe this should be directed towards the third sector to support rights-based and recovery approaches to mental health.
6. Create a Transformation Fund for Self-Directed Support to train and upskill social workers and those leading HSCPs in order to improve the consistency and pace at which self-directed support packages that can empower disabled people, and people with long term conditions, are put in place.
ALLIANCE-led research with people who use or have applied for self-directed support has highlighted significant delays as well as a lack of understanding of the spirit of self-directed support by social workers and social work departments. Findings of the research will be published in early 2017.
7. Allocate £10m over the next five years through the Transforming Self Management in Scotland Fund to invest in innovative approaches to self management of long term conditions.
Demand for the Fund continues to be high, with third Sector organisations bidding for £26.4m last year to fund a range of innovative projects supporting people to self manage long term conditions – more than ten times over the amount of money the Fund was able to allocate.
8. Invest £1m a year to roll out the Welfare Advocacy Support Project and build the capacity of independent advocacy organisations to support disabled people and people with long term conditions during social security assessment processes.
£1m would fund an independent advocate in each of Scotland’s local authority areas to support people during assessments, complimenting existing advice services. This has been found to be successful during an 18 month pilot supporting over 1,000 people in four areas of Scotland.
9. Double the funding allocated to carers organisations under the Carers Act 2015 to £1m in order to grow their capacity to support carers to plan for the future.
£0.5m has currently been allocated " v:shapes="Picture_x0020_2"> to support 50 third sector carers organisations to support transformation costs centred on systems (e.g. IT, accounting, data collection). Doubling this investment will enable these organisations to be better prepared to support implementation of the new Adult Carers Support Plans and Young Carers Support Plans.
10. Use the Primary Care Transformation Fund to expand the implementation programme for the House of Care model of collaborative care and support planning and an extended pilot of post-diagnostic dementia services relocated into Primary Care.
The House of Care model is currently being piloted in five adopter sites across Scotland and has the potential to recognise the assets, rights and capabilities of people who use support and services, and place them in the driving seat of their care and support.
Post-diagnostic support has been found to have the potential to assist people who live with dementia greatly to prevent carers from reaching crisis situations through implementation in primary care settings. This should be recognised as part of Scotland’s new dementia strategy. " v:shapes="Picture_x0020_1">